Balamoutsos N G, Gerogianni-Koŭlali M
Reg Anaesth. 1982 Jul;5(3):64-7.
Nine patients suffered from intractable pain that was not relieved by analgesic medication. All had cancer of the stomach or pancreas. The coeliac plexus was approached from the back, two long Teflon catheters being directed onto the appropriate ganglia under x-ray control. When the catheters were correctly positioned, under continuous aspiration we administered via each catheter 25 ml of Xylocaine 0.5-0.8%. The successful and uneventful trial was followed with injection of an equal volume of 25 ml 50% alcohol through each catheter on the next day. In eight patients pain ceased completely while the ninth presented a 50% improvement. In the last five patients alcohol was injected 2 to 3 hours after the injection of the local anesthetic. We had a postspinal headache from accidental puncture of the dura mater, and a mild toxic reaction to Xylocaine. Also three patients presented hypotension after the Xylocaine was administered.
9名患者患有顽固性疼痛，止痛药物无法缓解。他们均患有胃癌或胰腺癌。从背部进入腹腔神经丛，在X射线控制下将两根长聚四氟乙烯导管导向相应的神经节。当导管正确定位后，在持续抽吸的情况下，通过每根导管注入25毫升0.5 - 0.8%的利多卡因。成功且顺利的试验之后，次日通过每根导管注入等量的25毫升50%酒精。8名患者疼痛完全消失，而第9名患者疼痛改善了50%。在最后5名患者中，在注射局部麻醉剂2至3小时后注射酒精。我们因意外刺破硬脑膜出现了脊髓穿刺后头痛，以及对利多卡因的轻度毒性反应。此外，3名患者在注射利多卡因后出现了低血压。
